Cms Blue Button Finops

FinOps view of Blue Button 2.0 spend. The API is a free U.S. government service operated by the Centers for Medicare & Medicaid Services - there is no invoice from CMS at any usage level, in sandbox or production. The real costs of consuming Blue Button 2.0 sit on the consumer side - engineering time to pass CMS production approval (privacy policy, terms of service, demo), infrastructure to run the OAuth consent flow and store beneficiary-consented FHIR data, and the compliance overhead of handling Medicare claims data (breach notification, dormant-account, and third-party vendor obligations from the CMS terms).